Originally Posted by aProgDirector
Patient not breathing = intubated, so that should have already happened. And, no, you're almost never going to do emergency bypass. The equipment is never where you would want it, much too complicated to use (or you need someone who specifically knows how to use it). Maybe if you're in the CTICU
This will be highly system dependent. We have had hypothermic arrests come in that we got onto bypass out of the ED. While I'm sure there is a certain amount of the stars aligning, in the case of an extraordinary iatrogenic screw up, there will be an extraordinary system response.